Yes, We Accept UnitedHealthcare (Commercial)

Restoration Recovery is in-network with UnitedHealthcare (Commercial) for medication-assisted treatment (MAT), counseling, and related addiction recovery services at all four of our outpatient clinics across Tennessee and Georgia. If you have UHC coverage, you can use your plan to access Suboxone, Sublocade, or Brixadi — along with counseling and follow-up care — at our Chattanooga, Cleveland, Soddy-Daisy, or Ringgold (GA) locations.

Our intake team verifies your specific UnitedHealthcare plan benefits and product type before your first visit.

What’s Covered Under UHC for MAT

UHC plans that cover addiction treatment generally cover the full continuum of care we offer:

  • Suboxone (buprenorphine/naloxone): daily film or tablet prescription. This is the most common MAT medication and the one most UHC plans cover with a generic-tier copay.
  • Sublocade (monthly buprenorphine injection): administered at our clinic. Most UHC plans cover it, though some require prior authorization because of the higher per-injection cost.
  • Brixadi (weekly, bi-weekly, or monthly buprenorphine injection): similar coverage picture to Sublocade; prior authorization may be needed depending on plan.
  • Vivitrol (monthly naltrexone injection): for alcohol use disorder. Covered by UHC plans that cover SUD treatment.
  • Individual counseling and certified peer support: as part of your treatment plan.
  • Group IOP (intensive outpatient programming): structured group-based care for patients who benefit from a higher level of support.
  • Telehealth: secure video visits for medication management and counseling follow-up, typically covered at the same rate as in-person visits.
  • Behavioral health: psychiatric medication management and coordinated care for anxiety, depression, and co-occurring conditions.

Typical Cost and Copay

Commercial UnitedHealthcare out-of-pocket for MAT: $20–$50 specialist copay per office visit, and $5–$25/month for generic buprenorphine/naloxone (Suboxone) at pharmacy. High-deductible health plans (HDHPs) may require meeting your deductible first, after which cost-sharing reduces. Your exact copay depends on your specific UHC plan; our team pulls your benefits at verification.

Exact out-of-pocket cost depends on your specific UHC plan, deductible status, and whether any prior-authorization requirements apply. Our patient services team verifies your benefits before your first visit so you know what to expect. Most UHC patients find the real cost substantially lower than they expect.

Prior Authorization

Commercial UHC typically requires prior authorization for extended-release injections (Sublocade and Brixadi). Brand-name Suboxone may require step therapy. Our team handles prior-auth submission with UHC directly; it usually clears within a few business days. Daily generic Suboxone typically does not require prior authorization.

How We Verify Your UHC Benefits

When you call us at 423-498-2000 or submit a contact request, here is what the intake process looks like:

  1. We collect your UHC information. Member ID, plan name, and date of birth — the same info that’s on your insurance card.
  2. Our team calls UHC directly to verify your benefits for MAT, counseling, and IOP.
  3. We confirm back to you — usually within one business day — what your copay, deductible status, and any prior-authorization requirements look like.
  4. You schedule your first visit with confidence in what it will cost. No surprise bills.

Four Clinic Locations

We operate four outpatient clinics across Southeast Tennessee and North Georgia. UHC coverage is accepted at all of them:

Telehealth follow-up visits are available for established patients at all four locations, covered by UHC at the same rate as in-person visits in most cases.

How to Start

Same-week appointments are typically available at all four clinic locations. To begin:

  1. Call 423-498-2000 or submit a contact request.
  2. Have your UHC insurance card handy for verification.
  3. Tell our intake team you’d like to schedule an evaluation for Suboxone / MAT / counseling, and note what clinic location works best.
  4. We verify your benefits, confirm any prior-auth steps, and schedule your first visit — usually within the same week.

Your first visit lasts 60–120 minutes and follows a standard clinical flow: intake (DSM-5 assessment, COWS score if applicable), a counselor conversation, and time with a medical provider. If clinically appropriate, you can leave with a same-day Suboxone prescription. For the full walkthrough, see our first-visit guide.

Three UHC Products — Which Do You Have?

UnitedHealthcare runs three product lines that are administratively separate:

  • UHC Commercial (this page) — employer-group and ACA marketplace plans.
  • UHC Community Plan — UHC’s TennCare (Tennessee Medicaid) product.
  • UHC Medicare Advantage — for Medicare-eligible patients, including AARP-branded MedicareComplete plans.

Each has different coverage rules, prior-auth processes, and copay structures. Your card identifies the product. If you’re not sure, our intake team figures it out at verification.

UHC + OptumRx

UnitedHealthcare owns OptumRx, its pharmacy benefit manager. Your UHC prescription coverage for Suboxone is processed through OptumRx. Prior-auth and step-therapy decisions for oral medications go through OptumRx’s workflow; we handle the submission on your behalf.

UHC ACA Marketplace Plans

If you obtained UHC coverage through healthcare.gov (individual/family marketplace), your plan’s cost-sharing is determined by its metal tier (Bronze / Silver / Gold / Platinum) and, for income-qualified Silver plans, cost-sharing reductions that lower your deductible and copays. Our verification pulls all of this.

Related Links

  • Full insurance page — all accepted carriers plus verification form.
  • Suboxone Treatment — how MAT actually works at our clinics.
  • All services — MAT medications, counseling, IOP, telehealth, behavioral health.
  • FAQ — common questions about starting treatment.